Long-Term Effects on Personality Development in Patients with Adolescent Idiopathic Scoliosis

Outcome in adolescent idiopathic scoliosis after brace treatment and surgery assessed by means of the Scoliosis Research Society Instrument 24

“…The surgery group scored highest in post-treatment self-image, which confirms that the more or less immediate correction of their severe deformity makes a positive difference in terms of their post-treatment self-image. The significantly higher score of the S and the SB groups in post-treatment self-image and satisfaction is without doubt related to the correction of the spinal deformity and an obvious change in their appearance by reduction of the magnitude of the humped back [11,15]. It was, therefore, surprising that we could not show any correlation between Cobb angle correction and post-treatment Cobb angle with any of the domain scores, but these results confirm the findings of other studies [21,22] which could not determine any correlation between curve correction or curve size after surgery either.…”

“…Eleven questions (3-8, 14, 20, 22-24) have five answer categories which are quantified by 1-5: 1 was the most negative response and 5 the most positive; seven questions (12,13,(16)(17)(18)(19)21) have three answer categories quantified by 1, 3, and 5: decrease counts one point, no change or the same three points, and increase five points; three questions have two answer categories quantified by 1 and 5: no counts as one point and yes as five points; two questions (1, 2) have scales with a range from 1 to 9, rating the sensation of pain; 1 is no pain and 9 severe pain: 1 and 2=5 points, 3 and 4=4 points, 5=3 points, 6 and 7=2 points, and 8 and 9=1 point. One question (15) has a scale with a range from 1 to 9 rating the feeling of selfimage; 1 is very low and 9 is extremely high self-image; 1 and 2=1 point, 3 and 4=2 points, 5=3 points, 6 and 7=4 points, and 8 and 9=5 points. The domain scores were calculated by the sum of points and the norm score is calculated by dividing by the number of questions in the specific domain.…”

“…Measurement of quality of life or treatment outcome by subjective data has become an important tool in evidence-based medicine [8][9][10][11][12][13][14][15][16][17][18]. The Scoliosis Research Society instrument for outcome assessment (SRS 24) was designed to measure outcome after surgery, particularly in adolescent idiopathic scoliosis (AIS) patients [19][20][21].…”

Health-related quality of life in patients with adolescent idiopathic scoliosis: a matched follow-up at least 20 years after treatment with brace or surgery

“…The treatment per se may also impact on the quality of life and psychological well-being in a negative way [19,33,35,37]. The negative effects experienced during the treatment period might also be related to the patient's personality or to lack of support or poor family relations.…”

“…For example, pulmonary disease occurred in eight ST patients, six BT patients and three controls (n.s., P=0.18, overall test), coronary heart disease in five subjects in each group (n.s., P=0.82, overall test) and neo- Study-specific questionnaire c (Table 7) 13 Stigmata caused by the treatment WHO questionnaire [40] 5 Smoking, alcohol intake, psychological stress, physical activity during work and leisure time a Norm values for PGWB: 98-104 [15] b MODEM'S was the only questionnaire not previously used in Sweden. The questions intended for use were modified for Sweden by using the guidelines for the cross-cultural adaptation process proposed by Guillemin [28] c Previous studies at our clinic had shown a negative impact of the treatment on the patients [19]. These aspects were not considered adequately covered through the already chosen and existing instruments, and a study-specific questionnaire was constructed.…”